May 31, 2005
April, 2005 - Pre-Authorization List
Also known as Appendix A in the Provider Manual. Please replace Appendix A in your current Provider Manual with this document
September 20, 2004 - Checklist for Procedures Authorization Reviews
When you submit as much information as possible with a procedure preauthorization request, it helps us meet your patient’s needs in a timely manner. Qualis Health created this Checklist to help you determine the information required for a successful review and procedure authorization. We welcome your feedback regarding this tool.
May 1, 2004 Updated
Idaho Medicaid Provider Manual November 26, 2004 November 24, 2004 April 1, 2004 The Idaho Medicaid Select Pre-Authorization Review List has been updated with the October 2003 ICD-9-CM Code updates and the January 2004 CPT Code updates. Newly listed codes requiring pre-authorization review will become effective April 1, 2004.
Also note that effective, April 1, 2004,
new procedures requiring prior authorization through Qualis Health have been added to the Select Pre-Authorization Review List. Included are
unlisted neck, thorax procedure and
unlisted spine procedure.
This is an excerpt from the May 2004 Idaho Medicaid Provider Manual and includes the Select Preauthorization List of Diagnoses and Procedures.
May 2003
Changes in the 2003 Version of the InterQual Criteria, including the Qualis Health Utilization Review Tool and the Qualis Health Daily Inpatient Review Worksheet
December 1, 2002:
New Program for Idaho Medicaid: Case Management
October 31, 2002
Idaho Medicaid Information Release #MA02-40: Cesarean Deliveries Allowed Four Days Prior to Review
September 12, 2002
Qualis Health Announces Its Use of McKesson’s Clinical Criteria in the Delivery of Care Management Services to Customers
February 1, 2002
Important Announcement Regarding Changes to Appeal Consideration Procedure
January 17, 2002
Inpatient Re-Certification Reviews changed to three-day LOS
